| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.60 | $83.88 | $372.29 | |
Aetna
| Professional | $45.22 | $45.23 | $60.00 | |
CareSource
| Facility | $35.33 | $47.70 | $58.29 | |
CareSource
| Professional | $35.33 | $44.16 | $47.70 | |
Cigna
| Facility | $28.70 | $45.23 | $45.23 | |
Cigna
| Professional | $15.21 | $50.75 | $170.29 | |
Highmark BCBS
| Facility | $48.32 | $78.70 | $210.80 | |
United
| Professional | $15.90 | $19.00 | $56.53 |